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Global inequities in organ transplantation, 2008-2023: trends, unmet need, and policy implications - PubMed

3 hours ago
  • #Global health
  • #Organ transplantation
  • #Health equity
  • Global organ transplants increased by 76% from 2008 to 2023, with kidney transplants accounting for 65% of all solid organ transplants.
  • Disparities in organ transplantation persist, with very-high-HDI countries showing the most growth, while low-HDI countries remain significantly underserved.
  • Inequality in access to transplantation widened, with the slope index of inequality (SII) increasing from 55.9 to 73.9.
  • The largest transplant capacity gaps exist for kidney (>200,000 procedures), liver (>80,000), and heart (>30,000) transplants, with coverage below 10% in most low-HDI countries.
  • Strategic investments in policy, infrastructure, and integration of transplantation within universal health coverage are essential to improve equitable access globally.